Dashpoint August 9th – 12th Registration

Your Name *

Home Phone *

Street *

City *

State/Province *

Zip Code *

Country *

Age *

Sex *

Date of Birth *

Your Email *

Emergency Contact Name *

Emergency Contact Phone *

T-Shirt Size *

Session *
August 9th - 12th

How did you hear about the camp?

Hold Harmless Release:

This release bars your rights to recover damages in the case of an accident injuring you.

READ BEFORE SIGNING! In applying to the Dashboards Skimboard Camp, I promise to inspect the contest site,
and assure myself that the area is safe for skimboarding purposes.
In exchange for Dashboards Skimboard Company LLC accepting my entry form, I voluntarily agree to assume all risks incident to the sport of skimboarding. With full knowledge, comprehension, and understanding of these responsibilities, I voluntarily accept and assume all risks involved in the spirit of skimboarding. I will further read and comply with all Dashboards Skimboard Company LLC rules and regulations, and do agree that, noting existing weather conditions related to use of the contest site by myself and others. I give Dashboards Skimboard Company LLC permission to arrange to telecast, show, or print and publish any/or all audio and/or pictures taken of me (movie, video, or still) in conjunction with said event. In considerations of your acceptance of my entry, I intend to be legally bound, hereby for myself, my heirs, executors and administrators, hold harmless and release and forever discharge Dashboards Skimboard Company LLC, Pierce County, The City of University Place, The City of Steilacoom, the State of Washington, sponsors, their members, agents, and any officials connected with this competition, from all liabilities for injuries and damages whatsoever, arising from my presence and/or participation in the above described event and do hereby grant the sponsors such releases as described herein. I acknowledge that I have read and understand all of the above.

 I AGREE *

Name *

FOR CONTESTANTS UNDER 18 YEARS OF AGE:
I HEREBY CERTIFY that I am the parent or guardian of the participant named above, and do hereby give my permission without reservation and with full understanding and comprehension of the foregoing agreement to hold the aforementioned organizations and governments entities harmless of any and all liabilities including any such injuries which are alleged to have occurred as a result of negligent failure of Dashboards Skimboard Company LLC Instructors and Directors to properly supervise in the course of the skimboard camp.

Guardian name